Healdsburg Senior Living Community
725 Grove Street, Healdsburg, CA 95448


Healdsburg Senior Living Community is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555820. The address is 725 Grove Street, Healdsburg, CA 95448. The zip code is 95448. The phone number is 7074334877.


Healdsburg Senior Living Community · 725 Grove Street, Healdsburg, CA 95448

Federal Provider Number 555820
Provider Name HEALDSBURG SENIOR LIVING COMMUNITY
Address 725 GROVE STREET
HEALDSBURG, CA 95448
Phone Number 7074334877
SSA County Code 590
County Name Sonoma
Ownership Type For profit - Corporation
Certified Beds 38
Certified Beds Residents 33
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BERRYMAN HEALTH, INC
Date First Approved to Provide Medicare Medicaid Services 04/04/2005
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.5303
Reported LPN Staffing Hours per Resident per Day 0.40758
Reported RN Staffing Hours per Resident per Day 1.31515
Reported Licensed Staffing Hours per Resident per Day 1.72273
Reported Total Nurse Staffing Hours per Resident per Day 4.25303
Reported Physical Therapist Staffing Hours per Resident Per Day 0.11061
Expected CNA Staffing Hours per Resident per Day 2.24464
Expected LPN Staffing Hours per Resident per Day 0.5831
Expected RN Staffing Hours per Resident per Day 1.07848
Expected Total Nurse Staffing Hours per Resident per Day 3.90622
Adjusted CNA Staffing Hours per Resident per Day 2.76596
Adjusted LPN Staffing Hours per Resident per Day 0.58016
Adjusted RN Staffing Hours per Resident per Day 0.91117
Adjusted Total Nurse Staffing Hours per Resident per Day 4.38878
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 76
Cycle 1 Standard Survey Health Date 02/01/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 76
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 12/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 12/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 62
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Healdsburg Senior Living Community

Owner Name Role Association Date
ALAUX, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/13/1987
ALAUX, JOHN (Individual) DIRECTOR since 04/13/1987
ALAUX, JOHN (Individual) OFFICER since 04/13/1987
AVALON HEALTH CARE MANAGEMENT OF CALIFORNIA, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2007
BERRYMAN HEALTH, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2007
DEANS, LAWRENCE (Individual) MANAGING EMPLOYEE since 10/15/2013
KIRTON, CHARLES (Individual) MANAGING EMPLOYEE since 10/23/2012
MATTHEWS, ROBERT (Individual) MANAGING EMPLOYEE since 08/01/2004
PATZKE, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/13/1987
PATZKE, THOMAS (Individual) DIRECTOR since 08/27/2004
PATZKE, THOMAS (Individual) OFFICER since 04/13/1987
SHAUL, L (Individual) MANAGING EMPLOYEE since 07/01/2013

95448 · Nursing Home

Healdsburg District Hospital Dp/snf 1375 University Avenue, Healdsburg, CA 95448

Healdsburg · Nursing Home

Healdsburg District Hospital Dp/snf 1375 University Avenue, Healdsburg, CA 95448

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